Is sliding scale a good business practice?

By Liz Varney, LICSW
September 1st, 2025

Most therapists will agree that running a private practice solely on private pay is ideal. Even though working with health insurance can provide greater access to clients, the private practitioner is often left dealing with changing benefits, increasing deductibles, and long calls with insurance companies to rectify claims.
When dealing with insurance companies becomes a significant part of your week, it is typical to wonder if you may be better off removing yourself from insurance panels to run an out-of-pocket only business. When making this shift in your private practice, it is also wise to consider if offering sliding scale is in the best...

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